Cline v. Cohen

295 F. Supp. 797, 1969 U.S. Dist. LEXIS 8345
CourtDistrict Court, S.D. West Virginia
DecidedJanuary 2, 1969
DocketNo. 2439
StatusPublished
Cited by1 cases

This text of 295 F. Supp. 797 (Cline v. Cohen) is published on Counsel Stack Legal Research, covering District Court, S.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cline v. Cohen, 295 F. Supp. 797, 1969 U.S. Dist. LEXIS 8345 (S.D.W. Va. 1969).

Opinion

CHRISTIE, District Judge:

This is an action under Section 205(g) of the Social Security Act, 42 U.S.C.A. § 405(g), to review a final decision of the Secretary of Health, Education and Welfare. A decision by a hearing examiner on February 29, 1968 became the final decision of the Secretary on April 26, 1968, when the Appeals Council denied plaintiff’s request for review. The final decision holds that plaintiff is not entitled to the establishment of a period of disability or disability insurance benefits under the provisions of the Act.1

Plaintiff last met the special earnings requirements of the Social Security Act as of September 30, 1964. Under the Act, 42 U.S.C.A. § 416(i), an individual cannot be considered to be under a disability unless he furnishes such proof of the existence thereof as may be required. To meet this requirement, the claimant must establish that he suffered from such disability on or before the last day of his special insured status. Davidson v. Ribicoff, 204 F.Supp. 368, 369 (S.D.W.Va.1962). Thus the burden is upon the plaintiff to establish by credible evidence that he was disabled within the meaning of the Act prior to September 30, 1964, when he last met the special earnings requirements, though such proof need not be carried beyond a reasonable doubt. Thomas v. Celebrezze, 331 F.2d 451 (4th Cir. 1964).

The standard of review in actions of this nature is found in Section 205(g) of the Act, as amended, and is as follows:

“The findings of the Secretary as to any fact, if supported by substantial evidence, shall be conclusive * *

In short, the Courts are not to try the case de novo, and if the findings of the Secretary are supported by substantial evidence, the Courts are bound to accept them. Underwood v. Ribicoff, 298 F.2d 850 (4th Cir. 1962). Nevertheless, it is said that this provision of the law does not contemplate that the Courts' should surrender their “traditional functions,” but rather that they will view the record as a whole, not for the purpose of making an independent finding, but to determine whether or not the finding is supported by substantial evidence and to see to it that the administrative agency does not act arbitrarily or capriciously in denying just claims or allowing unworthy ones. Thomas v. Celebrezze, su[800]*800pra; Underwood v. Ribicoff, supra; Snyder v. Ribicoff, 307 F.2d 518 (4th Cir. 1962). In determining the meaning of “substantial evidence,” the Courts have held it to be more than a scintilla, but less than a preponderance. Thomas v. Celebrezze, supra. It is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion and it must be based on the record as a whole. Celebrezze v. Bolas, 316 F.2d 498 (8th Cir. 1963). The Fourth Circuit has pointed out that if there is only a slight preponderance of the evidence on one side or the other, the findings of the Secretary must be affirmed. Underwood v. Ribicoff, supra. Therefore, the immediate task of this Court is to determine whether the defendant’s denial of plaintiff’s claim is supported by substantial evidence.

In his application filed June 27, 1967, plaintiff alleged that he became unable to work in May of 1967 2 as a result of “high blood, arthritis, diabetes.” On April 9, 1963, he filed an application alleging that he became unable to work on November 8, 1962, as a result of “sugar diabetes & high blood pressure.” This application was denied initially, upon reconsideration and by a hearing examiner following an evidentiary hearing on October 15, 1964, at which plaintiff was represented by counsel. This denial by the hearing examiner was based upon his finding that “by a fair preponderance of the credible evidence at the hearing * * this claimant possessed, and still possesses, residual capacities readily and reasonably transferable to related fields of work in the general or national economy, and in the local county or state economy well within 100 miles of his place of residence in Baisden, Mingo County, West Virginia.” Plaintiff took no further action in regard to this decision, and it accordingly became the final decision of the Secretary with respect to* the 1963 application. Thus, on the basis of the prior adjudication of his claim, plaintiff is precluded by the doctrine of res judicata, from contesting the finding of the Secretary as to his ability to engage in substantial gainful activity up to and including July 9, 1963.3 James v. Gardner, 384 F.2d 784 (4th Cir. 1967); Farley v. Gardner, 276 F.Supp. 270 (S.D.W.Va. 1967). The narrow question presented by this review is, therefore, whether or not plaintiff became disabled between July 19, 1963 and September 30, 1964, the date on which his insured status expired. To resolve this question, we must look to the evidence submitted by the plaintiff in connection with his present application to determine whether Gr not his condition has changed or worsened subsequent to the previous decision of the Secretary finding him not disabled. Upon careful scrutiny of the evidence of record in this case, we find on the one hand little credible evidence to indicate any substantial change in plaintiff’s condition subsequent to the earlier decision by the Secretary, and on the other hand substantial evidence to support the decision of the Secretary finding plaintiff’s condition not of such severity as to prevent him from engaging in a number of jobs constituting substantial gainful activity. Under these circumstances the decision of the Secretary must be affirmed.

Plaintiff has submitted only two medical reports in connection with his most recent application and both of these reports were based upon examinations performed well after the expiration of his insured status in 1964. The late date of these examinations alone casts serious [801]*801doubt upon their usefulness in determining whether or not plaintiff was disabled within the meaning of the Act pri- or to the expiration of his insured status on September 30, 1964, however, as will be seen, more substantial reasons exist for denying plaintiff benefits than the lateness of the examinations. The first of these two reports, dated August 15, 1967, was prepared by Dr. Edward Gliserman. On physical examination, plaintiff was described as a well developed, heavy-set man. Blood pressure was given as 130/90; pulse regular and heart size and sounds normal. The palpable arteries were described as “firm.” An old fracture of the elbow limited movement of the left arm. On the basis of this somewhat limited examination, Dr. Gliserman made the following diagnosis:

1. Arteriosclerotic heart disease.
2. Coronary sclerosis.
3. Arthritis of the spine, ribs and shoulder points.
4. Refractive error.
5. Severe arteriosclerosis, lower legs.
6. Diabetes mellitus.
7. Deformity of the left arm.

Relying upon this diagnosis, Dr.

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295 F. Supp. 797, 1969 U.S. Dist. LEXIS 8345, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cline-v-cohen-wvsd-1969.